Individual provider · NPI-1

Adedayo Adetola, M.D.

Internal Medicine · New Haven, CT

NPI number1861498685
StatusActive
Last updated in NPPESMay 26, 2021

Details

NPI
1861498685
Entity type
Individual (NPI-1)
Name
Adedayo Adetola
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2005
Certification date
May 26, 2021
Last updated
May 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036356CTYes

Practice location

1453 Whalley Ave
New Haven, CT 06515-1153

Phone 203-389-4111 · Fax 203-889-4953

Mailing address

1453 Whalley Avenue
New Haven, CT 06516

Phone 203-389-4111 · Fax 203-889-4953

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